Professional Documents
Culture Documents
Account Type: ☐R
egular User ☐ LRA Extension Office User
Requester’s Name: ( Last Name, First Name, Middle Name) Mobile No.:
List of Acceptable IDs: (Requester shall submit a photocopy of any of the following)
Data Privacy Notice: In relation to Republic Act 10173, and its Implementing Rules and Regulations (Section
21 and 22), and by applying for the creation of LRA’s Citizen Land Registration Portal (“CLRP”) User Account,
the undersigned gives consent to the LRA and its Registries of Deeds (collectively, the “LRA”) to collect and
store the above data into its System. Further, the undersigned acknowledges and understands that the
created user account shall be his/her sole responsibility, therefore makes the undersigned accountable for its
confidentiality and the consequences of its use.
By:
________________________________________
Name and Signature of Requester / Date